Page 128 - pathology_services_handbook_5th_edition_2018

REQUEST FORMS

HTAA, KUANTAN No Common test Test Request General - HTAA Request Form Page

PER-PAT 301
1.
120
2.
Specimen Rejection
HTAA/PAT 302.PIN3
121
3.
Request For Tracing Laboratory Results HTAA/PAT/FORM3
123
4.
Request For Specimen Containers (In
HTAA) HTAA/PAT/FORM4 122
Haematology Laboratory, HTAA
5. Haematology Request Form HAEM/JP/HTAA/01Ver.2 124
6. Seminal Fluid Analysis HAEM/JP/HTAA/03 125
7. CD4/CD8 Count HAEM/JP/HTAA/04 126
Chemical Pathology Laboratory, HTAA
8. Urine drug abused screening & confir- UPD-1 (PINDAAN 2) 127
mation
9. Congenital Hypothyroidism HTAA-OBG-B-015 128
Serology Laboratory, HTAA
10. HIV/Hep. B/Hep. C Screening HIV/HEP (PHG) - 2011 129
Microbiology Laboratory, HTAA
11. CSF QAP/CSF-1 130
12. H1N1 Annex 11 131
13. MERS-CoV Annex 11 131
Histopathology & Cytology Laboratory, HTAA
14. Tissue HPE ANA/JP/HTAA-01/VER.3 (Pin- 132
daan 9/9/2015)
15. Cytology (non gynae) ANA/JP/HTAA-01/VER.3 (Pin- 132
daan 9/9/2015)
16. Pap smear PS 1/98 (Pindaan 2007) 133
Transfusion Laboratory, HTAA

17. GSH PPDK 5-pin 2/2015 134
18. GXM PPDK 5-pin 2/2015 134
19. Transfusion Reaction PPDK22-pin1/80 135
with Borang X

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